Organization Active NPI

New Path Healthcare

  • Registered Nurse
  • Olympia, WA
National Provider Identifier
1386024768
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00166884 Issued in WA
Legal business name
NEW PATH HEALTHCARE
Practice address
606 Lilly Rd NE
Apt 813
Olympia, WA 98506-5123
Phone
(509) 954-6635
NPI assigned
Jun 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Aleesha Kristine Kaundal
Title
Nurse Delegator
Phone
(509) 954-6635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X RN00166884 WA Primary

Addresses

Primary practice location

606 Lilly Rd NE
Apt 813
Olympia, WA 98506-5123

Mailing address

606 Lilly Rd NE
Apt 813
Olympia, WA 98506-5123
Phone (509) 954-6635

Other identifiers 1

IdentifierTypeStateIssuer
1978MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1386024768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 LILLY RD NE",
            "address_2": "APT 813",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065123",
            "telephone_number": "509-954-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 LILLY RD NE",
            "address_2": "APT 813",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065123",
            "telephone_number": "509-954-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PATH HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "KAUNDAL",
        "authorized_official_first_name": "ALEESHA",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "NURSE DELEGATOR",
        "authorized_official_telephone_number": "509-954-6635"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00166884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1978",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.